HomeMy WebLinkAboutBLD9088 Final SFR - BLD Permit / Conditions - 4/14/1976 Krise, Robert P. #9088
4-6-76
Ayock Beach, Lot #19, Block 1 Plumbing Permit
issued.
Contractor:
Vacation Home Lumbermen's of Wa.
$15 949.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
DATE ISSUED
PERMIT NO.
OWNER PHONE
--
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DIRECTIONS
TO 10B SITE
LEGAL / MAIL ADDRESS ZIP CISEE ATTACHED SHEET)
-_L MAIL ADDRESS PHONE CONTRACTOR
V 3 �/�6 y5 Of W-Aff� /�o- �D.r SOD S/7r�L�o�c/ ,Z?
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING
Class of work: IM NEW ❑ADDITION 11 ALTERATION ❑ REPAIR ❑MOVE D REMOVE
Describe work:
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Valuation of work:$ �� PLAN CHECK FEE PERMIT FEE /
SPECIAL CONDITIONS: (o
111141 7h
APPLICATION ACCEPJED BY PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
Type of Occupancy
Const. Group Division
- J
�— Size of Bldg. 7 yl- No.of Max.
(Total)Sq.Ft. Stories y Occ. Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Required
I Certify that I am a currently registered contractor in the State � (
11
of Washington and the County of Mason and I am aware of the EALTH 01ii;
ordinance requirements regulating the work for which the permit
1s Issued and all work done will be In conformance therewith, milFif
Firm
By srF�/Fo�r
Lic. N0. .23'O1— 7SO6 Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract
or registration law RCW 18.27, and am aware of the Mason
County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. N 0 T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
Owner Date AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.) M.O. CASH
�/ SHELTON PRINTING CO.
MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT —Complete ALL items. Mark boxes where applicable.
�. LEGALDEISCRIPTION
Location p /g IA �d.-
Of NS NS — --
Building
E W side of feet E W from intersection of
Sect. Twp. Range
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS EACH 60 TO 120 MBTU
BATH TUBS EACH 120 TO 200 MBTU
O
SHOWERS �� EACH 200 TO 500 MBTU
WATER HEATERS EACH OVER 500 MBTU
— go
AUTO. WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer SERVICE CONNECTION
DISH WASHER
DISPOSAL
URINAL
Distribution System
By Special Permit
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN
PENMI� PERMIT
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
�
FIELD INSPECTION
D.ite by Remarks
Name Mailing address — Number, street, city, and State Zip code Tel. No.
Owner
2.
Contractor
The owjilr Ahis building and the undersigned agree to conform to all applicable laws of.I11118SOtt County
PA
u t Address Application date
a i%! •o- ail' �` S/y�`Li�''�G�J�s'/� ���5 7
DO NOT WRITE IN THIS SPACE — FOR OFFICE USEved by Permit fee Date permit issued Permit number Receipt No.
.��,. J.1�r.v.' .t Y� $ /.5 "3n �� -mil ��� ���'��